Apply now »

CREDENTIALING ANALYST - MEDICAL STAFF OFFICE

Department:  Business Services
Status:  Full Time
Shift:  1st
Remote or Onsite:  Remote
Location: 

Aliso Viejo, CA, US, 92637 Orchard Hills, CA, US, 92602 Nashville, TN, US, 37013 Foothill Ranch, CA, US, 92610 Laguna Hills, CA, US, 92637 Raleigh, NC, US, 27513 Madison, WI, US, 53558 Laguna Beach, CA, US, 92651 Austin, TX, US, 73301 Salt Lake City, UT, US, 84044 Fountain Valley, CA, US, 92728 Newport Beach, CA, US, 92617 Santa Ana, CA, US, 92701 Irvine, CA, US, 92602 Des Moines, IA, US, 50047 Lake Forest, CA, US, 92609 Tustin, CA, US, 92606 Anaheim Hills, CA, US, 92807 Lincoln, NE, US, 68508 San Clemente, CA, US, 92672 Huntington Beach, CA, US, 90742 Cheyenne, WY, US, 82001 Jefferson City, MO, US, 65101 Costa Mesa, CA, US, 92626

Salary Range: $27.8800 - $42.9000 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

 

The Credentialing Analyst/Specialist maintains regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. The Credentialing Analyst creates and carries out various credentialing processes in relation to physicians, various other healthcare professionals and sites.

The Credentialing Analyst/Specialist assists the Supervisor in ensuring that all personnel and services adhere to facility and staff policies, department guidelines, regulations, and government laws. The Credentialing Analyst/Specialist generally processes applications and reappointment paperwork, checking for full completeness and accuracy. The Credentialing Analyst/Specialist constantly collects and processes significant amounts of verification and accreditation information, and thus must constantly maintain and update accurate databases for both practitioners and facilities. These databases include pertinent education, training, experience, and licensure content. The Credentialing Analyst/Specialist must prepare their own records for regular auditing, as well as maintain close communication with all appropriate practitioners to ensure that records are up-to-date and consistent.

It is expected that the employees holding these positions will demonstrate behaviors consistent with our core values and will comply with all required standards.

 

Education and Experience

High School diploma, GED, California High Proficiency or equivalent work experience

Proficiency with Microsoft Office Products (Word, Excel, PowerPoint)

Experience specific to NCQA standards preferred

MD Staff experience preferred

Proficiency with medical terminology preferred

 

Certifications Preferred

Certified Professional Credentialing Analyst (CPCS)

Certified Professional Medical Services Professional (CPMSM)

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.


Nearest Major Market: Orange County
Nearest Secondary Market: Los Angeles

Job Segment: Compliance, Law, Medical, Legal, Healthcare

Apply now »